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L&-itCHVED <br /> Mailing:P.O.Box 176,Salida,CA 95368 <br /> 811 <br /> AMON'. <br /> 4812 Kleman Court,Salida,CA 953" FER 17 2016 <br /> George W. LowM Inc. Phone:209-546-0791 FAX 209-546-2241 <br /> ! A® 1161 II 1111p <br /> Environmental Services Division y EPA#CAR00004-1019 <br /> ENVIR"NMENTAL <br /> CA Transporter Number 38" U <br /> HEAITP nP:OAPTkAF:KjT <br /> CA License758518 <br /> GENERATOR'. Consolidated Manifest Invoice: 1 C. <br /> Site EPA ID#: �125056 <br /> C 4 oo n 7Shipment Date: _ <br /> 2- <br /> Contact Person: A, t-.r <br /> Name., Driver SiqnaturPrinted)-K <br /> -- &I 4'A 12-0 tlflmi a <br /> Address: 4,." Truck# /Z2 <br /> City,State,Zip: Gam <br /> 61 <br /> Site Phone: PO <br /> Phone: <br /> Product Waste CA Manifest#0 Quantity unit- Price Amount <br /> Code <br /> Aon-RCRA Hazardous Waste Liquid(Used UiQUIldaiting 221 Gal <br /> Z <br /> Non-RCRA Hazardous Waste Liquid(Used 00:Industrial 221 Gal <br /> Non RCRA Hazardous Waste Liquid(Used Automotive Antifreeze) 134 Gal <br /> Non-RCRA Hazardous Waste Lkluk!(01&Water) 1 221 Gal <br /> Non-RCRA Hazardous Waste Solids Contaminated with Used Oil 223 Drum(s) <br /> -Drained Used Oil Filter Drum(s) j M-ni-I <br /> Empty Drums) Each <br /> Transportation&Truck Time HR. <br /> Hazardous Test <br /> Unless otherwise specified onus consolidated Manifest Receipt(invoice)Terms:Accounts due on the 10th of the month lbllMnIi month cfpurchas& Past due <br /> accounts will be charged a FINANCE CHARGE at the PERIODIC RATE of 1-1r2%per month,which Is the ANNUAL PERCENTAGE RATE of 18%. <br /> By signing this receipt,the Generator certifies that a program has been established to reduce the volume or quantity and loddty of the hazardous waste to a degree as <br /> determined by the generator,to be economically practicable. <br /> Generator certifies that all Hazardous Waste listed on this Consolidated Manifest Receipt Is profiled to meet the Waste Codes as listed above. <br /> Note:George W.Lowry,Inc.hereby advises the Generator that X a(Generator's signature) <br /> shipment of used oil may be transported to afacility that is required to comply with federal regulations applicable to management of used oil but that is <br /> not required to comply With the more stringent requirements applicable to hazardous waste management facilities. Callfomis facilities that handle or <br /> process used oil are required-to meet those more stringent requirements,and some out-of-state faciliffies;that process used oil also meet those require- <br /> ments These include more stringent leak detection and prevention requirements,engineering Certifications of tank Integrity,and financial assurances <br /> for closure and accidental releases. It Is lawful to send used oil to out of state facilities that comply only with the Federal used oil management stan- <br /> dards and not these more stringent requirements. <br /> This notification Is for Information only. Lowry Driver Sig U <br /> Signature of Generator,Representative or Agent of Genirato--. ',v- <br /> Greenleaf Environmental C��i'R/g <br /> 3474 Toyon Cr. /101 Hagen DriveValley Springs,CA 95252 Woodville,Wl 54028 Name; <br /> 209-7644600 715-608-3363 <br /> CAL0002144I I WIRDO0029761 Addrew. <br /> Recycling d.�� <br /> &Disposal <br /> State <br /> !�-_W!k Oil Transfer 6300 Ramos Environmental cry, `zip: <br /> Claus Road iSIS&River Road <br /> Riverbank,CA 96367 West Sacramento,*CA 95691 Phone: <br /> 209-863-8181 9163716747 <br /> CAL0000190817 CAD004003666 EPA ID: <br /> 4. <br />